Noncontact Anterior Cruciate Ligament Injuries: Mechanisms and Risk Factors

被引:299
作者
Boden, Barry P. [1 ]
Sheehan, Frances T. [2 ]
Torg, Joseph S. [3 ]
Hewett, Timothy E. [4 ,5 ,6 ]
机构
[1] Orthopaed Ctr, Rockville, MD USA
[2] NIH, Bethesda, MD 20892 USA
[3] Temple Univ, Sch Med, Philadelphia, PA 19122 USA
[4] Univ Cincinnati, Coll Med, Dept Pediat, Cincinnati, OH USA
[5] Univ Cincinnati, Coll Med, Dept Orthopaed Surg, Cincinnati, OH USA
[6] Univ Cincinnati, Coll Med, Dept Biomed Engn, Cincinnati, OH USA
关键词
KNEE INJURY; IN-VITRO; TIBIAL PLATEAU; ACL RUPTURE; JOINT; COMPRESSION; STRAIN; MUSCLE; FORCES; BIOMECHANICS;
D O I
10.5435/00124635-201009000-00003
中图分类号
R826.8 [整形外科学]; R782.2 [口腔颌面部整形外科学]; R726.2 [小儿整形外科学]; R62 [整形外科学(修复外科学)];
学科分类号
100224 [整形外科学];
摘要
Significant advances have recently been made in understanding the mechanisms involved in noncontact anterior cruciate ligament (ACL) injury. Most ACL injuries involve minimal to no contact. Female athletes sustain a two-to eightfold greater rate of injury than do their male counterparts. Recent videotape analyses demonstrate significant differences in average leg and trunk positions during injury compared with control subjects. These findings as well as those of cadaveric and MRI studies indicate that axial compressive forces are a critical component in noncontact ACL injury. A complete understanding of the forces and risk factors associated with noncontact ACL injury should lead to the development of improved preventive strategies for this devastating injury.
引用
收藏
页码:520 / 527
页数:8
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